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2025 CLC PRACTICE EXAM 6 |50 QUESTIONS AND
ANSWERS|GRADED A+
What is the most variable constituent of human milk, changing both within a single feed and daily? a) Cholesterol b) Lactose c) Calcium d) Fat โ ANS:->>d) Fat A research study shows that mothers who supplement their babies tend to breastfeed longer than those who don't supplement. Which of the following is most important to know in analyzing such a study? a) Who funded the study b) The authors' definition of breastfeeding c) The authors' definition of supplementation d) The socio-economic of the study participants โ ANS:->>c) The authors' definition of supplementation Which of the following publications is likely to be most useful when considering which drugs are compatible with breastfeeding? a) The Drugs and Lactation Database (LactMed) updated monthly b) Studies published in peer reviewed journals in the last 7 years c) The drug insert that comes with each medication d) Drug information published every year in the Physician's Desk Reference (PDR)
- ANS:->>a) The Drugs and Lactation Database (LactMed) updated monthly The best time for a baby to go to the breast for his first feed is:
a) Right after birth b) Within the first six hours of birth c) As soon as the mother states she is ready d) When the baby demonstrates feeding cues โ ANS:->>d) When the baby demonstrates feeding cues How does the growth pattern of the breastfed infant differ from the formula-fed infant? a) The breastfed newborn gains more slowly at all points in time than a formula-fed infant b) After an accelerated growth in the early months the breastfed baby slows at about 4 months c) The formula-fed infant grows in length faster than the breastfed baby in the first 6 months d) The breastfed infant has a larger head circumference than the formula-fed infant
- ANS:->>b) After an accelerated growth in the early months the breastfed baby slows at about 4 months The LEAST important reason for accurate documentation is: a) To defend yourself in case of a lawsuit b) To provide parents with an individualized plan of care c) To assure the primary HCP has an accurate record of all intervention and suggestions d) To fulfill the requirements of the Standards of Practice for lactation consultants
- ANS:->>b) To provide parents with an individualized plan of care Which factor is higher in colostrum than in mature milk? a) Fat b) Lactose c) Protein
- ANS:->>a) If she has some kind of insurance A short lingual frenulum is referred to as: a) Labioglossia b) Ankyloglossia c) Retracted tongue d) Labial tongue-tie - ANS:->>b) Ankyloglossia According to WHO literature, mastitis is more common in first time breastfeeding mothers. The primary reason for this trend may be that first time mothers are more: a) Stressed about breastfeeding and childcare b) Likely to have latch problems resulting in sore nipples c) Reluctant to call their physicians or seek help d) Prone to infection in general due to fatigue
- ANS:->>b) Likely to have latch problems resulting in sore nipples Georgia asks you how long Mimosa should breastfeed each time. What do you tell her? a) At least 10 minutes on the first side and as long as she wants on the second. b) She doesn't need to breastfeed any longer than about 7 minutes on a side because 90% of the milk is gone by then. c) At least 15 minutes on each breast to make sure the breasts receive equal stimulation d) Until Mimosa stops breastfeeding on the first side, then offer the second. - ANS:->>d) Until Mimosa stops breastfeeding on the first side, then offer the second Which category of drugs is a breastfeeding mother most likely to take? a) Antibiotics
b) Antidepressants c) Analgesics d) Antiemetics
- ANS:->>c) Analgesics The AAP Statement recommends pacifiers for infants in the following situations: a) Whenever the infant is in a prone position b) All infants under 4 weeks of age c) Breastfed infants over 4 weeks of age d) Families with a history of SIDS - ANS:->>c) Breastfed infants over 4 weeks of age Which of the following nutritional advice for breastfeeding women is evidence- based? a) Increase caloric intake by 500 calories per day b) Drink enough fluids to satisfy thirst c) Avoid spicy foods as they will affect the baby's digestion d) Drink at least 2, 8 oz. glasses of milk per day ANS:->>b) Drink enough fluids to satisfy thirst The birth spacing effects of breastfeeding are most beneficial for: a) Infant well-being b) Lactational amenorrhea c) Maternal recovery from childbirth d) Increasing ovulation - ANS:->> c) Maternal recovery from childbirth Lactoferrin is a whey protein that is protective against infection through: a) Preventing the bacteria from ingesting fat b) Destabilizing the outer cell membrane of bacteria
The most common deterrent to choosing breastfeeding in the U.S. is: a) Breastfeeding will cause nipple pain or injury b) The fear of inadequate milk supply c) Because the mother has to return to work d) Breastfeeding is perceived as interfering with a mother's lifestyle choices
- ANS:->>d) Breastfeeding is perceived as interfering with a mother's lifestyle choices The effects of long-lasting and untreated postpartum depression on the infant may be which of the following? a) Immune system deficiency b) Normal weight gain c) Lack of affect on the baby d) Increased risk of Chikungunya - ANS:->>c) Lack of affect on the baby The composition of milk changes during weaning in which of the following ways? a) Increase in sodium and protein concentrations b) Increase in fat and calcium concentrations c) Increase in concentration of lactose d) Increase in water-soluble vitamins - ANS:->>a) Increase in sodium and protein concentrations When a baby has lost excessive weight in by the second day of life, the first thing to check is: a) How well the baby is breastfeeding b) How much fluid and synthetic oxytocin the mother received in labor
c) How many times the baby has voided and stooled the first 24 hours d) The pediatrician's preference for a mode of supplementation - ANS:->>c) How many times the baby has voided and stooled the first 24 hours One of the advantages of double pumping over single pumping is that double pumping: a) Causes less pain in the nipples b) Is easier for the mother to do c) Decreases the time spent pumping d) Stimulates the breasts equally - ANS:->>c) Decreases the time spent pumping Which infant is at risk for hypoglycemia? a) One who is exhibiting respiratory distress at birth b) One whose mother was on antiemetics during her pregnancy c) An infant born with Hirschsprung's disease d) An infant born to a mother with rheumatoid arthritis - ANS:->>a) One who is exhibiting respiratory distress at birth Salome asks you about giving Oscar vitamin D because she has heard the breast milk is deficient in vitamin D. What should you tell her about the AAP's recommendations? a) All infants need to be supplemented with 400 IU vitamin D per day starting within days of birth b) Only dark skinned exclusively breastfed babies living in a northern climate need to be supplemented with vitamin D c) As long as the baby is exposed to sunlight even if fully dressed for at least 2 hours a week, the baby doesn't need supplementation d) All breastfed infants need to receive at least 200 IU of vitamin D per day starting at 4 months - ANS:->>a) All infants need to be supplemented with 400 IU vitamin D per day starting within days of birth Which of the following hormones is essential for complete lobular-alveolar
A feeding tube at the breast is helpful with: a) A baby who is FTT b) A baby with a shallow latch c) A baby whose mother has inverted nipples d) A mother with very sore nipples - ANS:->>a) A baby who is FTT Casomorphins are active peptides that are derived from: a) The casein component of breast milk b) The whey component of breast milk c) The carbohydrate component of breast milk d) The fat component of breast milk - ANS:->>a) The casein component of breast milk Which of the following classification of drugs may inhibit or reduce milk production? a) Analgesics b) Antihistamines c) Galactogogues d) Antepileptics - ANS:->>b) Antihistamines Mitzi is an IBCLC and she has just been diagnosed with rheumatoid arthritis. When she researches this condition she finds which of the following to be true? a) Rheumatoid arthritis affects over 10% of the adult population b) Rheumatoid arthritis is more common in men than in women c) Epidemiological studies have suggested that gut microbiota are important in the development of rheumatoid arthritis d) Women who breastfeed are less likely to develop rheumatoid arthritis - ANS:->>d) Women who breastfeed are less likely to develop rheumatoid arthritis
The most common component of ritual, prelacteal feeds is: a) Formula b) Fruit c) Honey d) Gruel - ANS:->>c) Honey A SGA infant should: a) Be expected to gain faster on formula than on breast milk b) Be completely neurologically intact c) Receive sufficient kilocalories to meet the needs of the AGA infant d) Be able to breastfeed without difficulty - ANS:->>c) Receive sufficient kilocalories to meet the needs of the AGA infant Darsee wants to develop a pumping plan so she can start storing her breast milk for when she returns to work in 8 weeks. Which statement would be the most helpful? a) I'm lad you are planning ahead. Have you found child care yet? b) It's good that you are thinking about storing your milk ahead of time since it will take a long time to freeze enough milk. c) You are likely to get more milk if you buy a pump that can pump both breasts at the same time. d) One of the best times to pump is once a day during the baby's longest sleep period or whenever she nurses on one side and not the other - ANS:->>d) One of the best times to pump is once a day during the baby's longest sleep period or whenever she nurses one side and not the other Trelawney is a vegetarian and plans to breastfeed her baby which is due in 2 months. When you review her diet history, you need to be certain of which of the following nutrient is included? a) Calcium b) Vitamin B c) Vitamin C d) Iron - ANS:->>b) Vitamin B
women by up to 300% The breast milk composition from a breast with mastitis produces higher levels of: a) Insulin b) Beta-carotene c) Sodium d) Potassium - ANS:->>c) Sodium Which of the following hormones is present in breast milk? a) Lactase b) Estrogen c) Parathyroid d) Prolactin - ANS:->>d) Prolactin Jillian calls and says that when she starts nursing the baby, she often feels a deep depression that is often present during the entire feeding. She wonders what is wrong with her, and you tell her: a) "I'm not sure what is going on. I think you need to see your OB and get treatment. b) "This is something that other mothers have described happening, and is known as Dysmorphic Milk Ejection Reflex (D-MER). Let's talk about it some more." c)"This is one of the symptoms of a variety of postpartum anxiety disorders. It's important that you seek psychological counseling." d) This is related to your flight-or-fight response stimulated by an excess of adrenaline when you start nursing." - ANS:->>b) "This is something that other mothers have described happening, and is known as Dysmorphic Milk Ejection Reflex (D-MER). Lets talk about it more." If an infant is exhibiting symptoms of lactose overload, which of the following is the most effective technique to decrease the symptoms? a) Use the laid back (biological nursing) position for breastfeeding
b) Decrease the amount of lactose in the mother's diet c) Give the baby a higher proportion of hind milk than fore milk d) The mom should take Lactaid capsules before eating dairy products - ANS:-
c) Give the baby a higher proportion of hind milk than fore milk
d) Prolactin Jillian calls and says that when she starts nursing the baby, she often feels a deep depression that is often present during the entire feeding. She wonders what is wrong with her, and you tell her: a) "I'm not sure what is going on. I think you need to see your OB and get treatment. b) "This is something that other mothers have described happening, and is known as Dysmorphic Milk Ejection Reflex (D-MER). Let's talk about it some more." c)"This is one of the symptoms of a variety of postpartum anxiety disorders. It's important that you seek psychological counseling." d) This is related to your flight-or-fight response stimulated by an excess of adrenaline when you start nursing." - ANS:->>b) "This is something that other mothers have described happening, and is known as Dysmorphic Milk Ejection Reflex (D-MER). Lets talk about it more." If an infant is exhibiting symptoms of lactose overload, which of the following is the most effective technique to decrease the symptoms? a) Use the laid back (biological nursing) position for breastfeeding b) Decrease the amount of lactose in the mother's diet c) Give the baby a higher proportion of hind milk than fore milk d) The mom should take Lactaid capsules before eating dairy products - ANS:- >>c) Give the baby a higher proportion of hind milk than fore milk The best reason to encourage breastfeeding with the mother of a baby with Down Syndrome is: a) These infants may suck poorly b) These infants may have multiple medical problems c) These infants are physically and developmentally delayed d) These infants are prone to infection - ANS:->>d) These infants are prone to infection
